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NO. STREfT LOT NO.
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�.,..y ; I OR ELECTRICAL PERMIT
CITY; CUPERTINO
{DEC 17 19E r,
Date ���� / Z —195— Permit No.
CIT ! lj� ' IPE�RiI�lG Fee $ 7 a
Application is hereby made to t e City of Cupertino for a permit to ' stall electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premie'
Owner—2V�ywf // fS S O G//iTf S
By !t "
CONTRACTOR, AGENT
Phone: 29.5 ^ 3Z/41d 11
Tor?F C QZ� L3 % .. cSV
Address
Address
Approved
Size Service Conduit ---------------------- NuuAik-of Outlets____.._'7-____-_-
Size Service Wires.........................Number of Switches -------- .____-__
Size Service Switch ------------------------ Numb er of Receptacles_ /-9.-.
Size Sub Feed Conduit .................. Number of Fixtures ----
Size Sub Feed Wires .... ................ Ranges ... ............. KW__.-______..._
Number of Circuits----------_-----. Oven -------------- KW ------------- ---------- ---------- --------------
Number of Meters ........................ Signs --- /.... Transformers ........ I ---------- `---------- I.---.-----.._.
Misc------------------------------------------------Dryers---------------------------------------- I ---------- I ---------- I --------------
Motors -------------------- HP -------------------- Phase ---_-------------- Permit Fee $1.00
Motors-------------------- HP -------------------- Phase --------------------
Motors -------------------- HP -----------•-------- Phase-------------.rr sirP is ge------ R
n----- --- ---
Rough
Finish
DATE
---•------------------------
IRSPECTOR
I, the undersigned do hereby certify that
I am the owner and.oc,upart of
single
family dwelling at E,2 -L J
far rrwhich I am making application to do
1W a L- work as a homeowner.
I also certify Wl�
I will not hire any
non -licensed i L t c,R,lepr con-
tractor, but will do this work -ny self .
7 ��
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LOT NO.
f
NO. STE8fl7 n
APPLICATION FOR APPLIANCE PERMIT
—� CITY OF CUPERTINO
Date , 196.._.. Permit No. r r V1-1-
S�
Fee $
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
,r ----- /
Use of Premises 1 41 r'C f�
a,
O ne % �/v✓
By
Ph
Address
' Address�r/� L—'NSPE=
Approv 41 B G R
Type of Appliance I Units Fees II
Remarks ( Check 0
New j Replace I Relocate
Gas Ranges I I II
Wall Heaters I I II
Gas Plates I I II
Circulating Heaters I I II
Blower Furnaces ( I II
Gas Fired Boilers I I II
V14ftwovens I 1 I
Percolators
Griddles I I
II
Steam: Tables I I
II
Gravity Furnaces
�Suspendri Unit
Floor .Furnace I I
II
I
II
Miscellaneous I
ii
NAME TYP I I
II
I
II
w 1 tz Q I I 43D
II
Appliance Fees
Inspected and Approved % .���:..��(,..---:_...........................
DATF INSPECTOR
LOT NO.
P A PN FOR GAS PERMIT
V1,0 C T , C OF CUPERTINO
Dat ril C I I P RT I N Permit No.
�
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and other laws applicable thereto.
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a Use of Premises
cis Owner Address _
By - Address
CONTRACTOR, AGENT
Phone �`� . > Approve -
PLUMBING INSPECT
Type of Appliance I Units Fees II
Remarks ( Check J )
New Replace Relocate
Gas Ranges
Wa11 Heaters
Gas Plates
Circulating Heaters
I�
Blower Furnaces
Gas Fired Boilers
Warming Ovens
��
Percolators
Griddles
Steam Tables
Gravity Furnaces
Unit
Miscellaneous
NAME TYPE) I II
Inspected and Approved ---------------.........
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I Size of VaA_
Gas, Piping Fees
Tested and Approved r 1 ------ ..........................
TE INSPECTOR
I, the undersigned do hereby certify that
I am the owner and.oQcupant f single
fam' dwelling at t
fo w I am making application to do<%
work as a homeowner.
I also cer i y will not hire any
non -license
tractor, but will do
or con-
mfXself .
%I-0 v `i3 I • V 1 P"" LOT NO.
NO. STREET
*; ARP,�UCATION FOR FLUMBING PERMIT
CITY OF' CUPERTINO
~ 9953 Sanitary No. [1
I -7 7
�LL ,,...
0 Date 196— Permit No
3U oO
w (� I T�/ (1 f Fee $
' 0 Applic'� flys lVftby Q�� Je1 r it'y of Cupertino for a permit to install plumbing
LL o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
L'i
U. Use of Premises
00
1- 3 O ner Address
0a
zJ
J z By Address
-
o CONTRACTOR, AGENT
U) Phone � -% q"Z-
w z
W w
X
o State Lice provea4,
J) PLUMBING INSPE
UNITS FEES
UNITS FEES
Water Heater
Size
Water Closets
Material
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
k-.orw.:3inx s 1 re
Dental Units
Drinking Fountai
Floor Drains
Hoppers
Restaurant Sinks
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
S rinkler Valves
Water Sys. Fee
Q ;2 \
Permit Fee --�
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough_,
Rough Complete..
Main Drain ez
Final— 4"�
I, the undersigned do hereby cert" y tha,,
I am the owner and occupant f th ngle
fam y dwelling at
for ch am making application to do
work as a homeowner.
I a so certify t I tai I -not hire any
non -licensed cg or con-
tractor, but will do this v rk m self.,
NO. STREET �- LOT NO.
APPLId-A ON FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
efMAR 1� c: t c(� 7
ate �' I TY (� ( 1195— Permit No. , I
Applicatitlrl ls-'lierPb�ma'8 �t0 6Lity of Cupertino for a permit to install electrical
iring And/or fixtures as listed on the reverse side hereof, and agrees to install said
iring and/or fixtures in accordance with the provisions of the Electrical Code of the
ity of Cupertino, and all other laws applicable thereto.
Use of Premix
Address
By Address
CONTRACTOR, AGEVT
Approve(
Phone:
Size Service Conduit......................Number of Outlets-. -_-------------
Size Service Wires -------------------------Number of Switches................
Size Service Switch........................Number of Receptacles............
Size Sub Feed Conduit ------------------Number of Fixtures.--.---...........
Size Sub Feed Wires .................... Ranges ---------------- KW .............. ----------.......... ..............
Number Circuits ................... Oven -------------- KW .............. .......... ------•--- ..............
Number f eters........................Signs.......... Transformers ........
I.......... .......... ........
Misc...... ....... Dryers. --------------------------------------- ----------------------�--•---
Motors -------------------- HP --•----•------------ Phase -------------------• Permit Fee $1.00
Motors.................... HP ---------------•---- Phase ........... ........
Motors .................... HP -------------------- Phase -------------------- H P Charge ----------------I
TOTAL FEES i
RECORD OF INSPECTION APPROVALS
RoughWiring -------------•-- ............................ Fixtures ----•----------_---- ----------------------------
DATE INSPECTOR DATE NSPECTOR
Finish Wiring ................ ------------------------ Motors .j. . . ................
DATE INSPECTOR - / --7 1 SP EGTOR
Final ITL (( l(, ( ----------
DATE INSPECTOR
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/400ao a--e' LOT NO.
NO. STRBB
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date - 196.. Permit No.
a c�
Fee $
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
Type of Appliance
Units Fees II
Remarks ( Check 0
New I Replace I Relocate
Gas Ranges
w ll Heaters I I
II
Gas Plates I
II
Circulating Heaters I I
II
Blower Furnaces I I
II
Gas Fired Boilers
Warming Ovens
Percolators
I I
II
_Griddles
Steam Tables
II
Gravity Furnaces
Suspended Unit I , o 0
II�
Flpcjr Fur ace
r a
Miscellaneous I I
ii
(NAME TYPE)I I
II
I I
II I
I I
II
pp lance ees
f _. __..._J _J ♦ _ _J % I r 'i
...,r............Yr.�., - .................. I
ATF. INSPECTOR